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Relative and disease-free survival for breast cancer in relation to subtype: a population-based study

Purpose No population-based study has investigated breast cancer (BC) subtypes defined by including Ki67. The aim of this study was to evaluate the relative proportions of immunohistochemical subtypes and differences in relative and disease-free survival between subtypes, in relation to patient and...

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Published in:Journal of cancer research and clinical oncology 2013-09, Vol.139 (9), p.1569-1577
Main Authors: Minicozzi, Pamela, Bella, Francesca, Toss, Angela, Giacomin, Adriano, Fusco, Mario, Zarcone, Maurizio, Tumino, Rosario, Falcini, Fabio, Cesaraccio, Rosaria, Candela, Giuseppa, La Rosa, Francesco, Federico, Massimo, Sant, Milena
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cited_by cdi_FETCH-LOGICAL-c402t-5d7b9ff826e8771b593d8510af281212edece42a7fd86eacf4293aea11417fcf3
cites cdi_FETCH-LOGICAL-c402t-5d7b9ff826e8771b593d8510af281212edece42a7fd86eacf4293aea11417fcf3
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container_issue 9
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container_title Journal of cancer research and clinical oncology
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creator Minicozzi, Pamela
Bella, Francesca
Toss, Angela
Giacomin, Adriano
Fusco, Mario
Zarcone, Maurizio
Tumino, Rosario
Falcini, Fabio
Cesaraccio, Rosaria
Candela, Giuseppa
La Rosa, Francesco
Federico, Massimo
Sant, Milena
description Purpose No population-based study has investigated breast cancer (BC) subtypes defined by including Ki67. The aim of this study was to evaluate the relative proportions of immunohistochemical subtypes and differences in relative and disease-free survival between subtypes, in relation to patient and other cancer characteristics in Italian BC patient. Methods Information on estrogen, progesterone, human epidermal growth factor (HER2), Ki67, and relapses was obtained for 3,381 cases, sampled randomly and anonymously from cases diagnosed in 2003–2005 in nine Italian cancer registries. Relative excess risks (RERs) of death and risks of relapse 5 years after diagnosis were estimated. Results Luminal A cancers were 42 % of the total, luminal B 27 %, luminal-HER2 14 %, triple-negative 11 %, and HER2-enriched 7 %. For non-metastatic (3,302) cases, 4 and 7 % developed locoregional and distant metastases, respectively. RERs of death and risks of relapse were significantly greater for all cancer subtypes than luminal A, particularly for triple-negative and HER2-enriched cancers, which were more frequent in women
doi_str_mv 10.1007/s00432-013-1478-1
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The aim of this study was to evaluate the relative proportions of immunohistochemical subtypes and differences in relative and disease-free survival between subtypes, in relation to patient and other cancer characteristics in Italian BC patient. Methods Information on estrogen, progesterone, human epidermal growth factor (HER2), Ki67, and relapses was obtained for 3,381 cases, sampled randomly and anonymously from cases diagnosed in 2003–2005 in nine Italian cancer registries. Relative excess risks (RERs) of death and risks of relapse 5 years after diagnosis were estimated. Results Luminal A cancers were 42 % of the total, luminal B 27 %, luminal-HER2 14 %, triple-negative 11 %, and HER2-enriched 7 %. For non-metastatic (3,302) cases, 4 and 7 % developed locoregional and distant metastases, respectively. RERs of death and risks of relapse were significantly greater for all cancer subtypes than luminal A, particularly for triple-negative and HER2-enriched cancers, which were more frequent in women &lt;40 years. Conclusions Our population-based findings confirm that subtype is an independent prognostic factor for BC. Triple-negative and HER2-enriched subtypes would benefit from the development and wide application, respectively, of targeted treatments, which would also improve survival for younger patients.</description><identifier>ISSN: 0171-5216</identifier><identifier>EISSN: 1432-1335</identifier><identifier>DOI: 10.1007/s00432-013-1478-1</identifier><identifier>PMID: 23892409</identifier><identifier>CODEN: JCROD7</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Antineoplastic agents ; Biological and medical sciences ; Breast cancer ; Breast Neoplasms - classification ; Breast Neoplasms - epidemiology ; Breast Neoplasms - mortality ; Breast Neoplasms - pathology ; Cancer Research ; Carcinoma, Ductal, Breast - epidemiology ; Carcinoma, Ductal, Breast - mortality ; Carcinoma, Ductal, Breast - secondary ; Carcinoma, Lobular - epidemiology ; Carcinoma, Lobular - mortality ; Carcinoma, Lobular - secondary ; Epidermal growth factor ; Female ; Follow-Up Studies ; Gynecology. Andrology. Obstetrics ; Hematology ; Hormones ; Humans ; Immunoenzyme Techniques ; Internal Medicine ; Italy - epidemiology ; Lymph Nodes - pathology ; Mammary gland diseases ; Medical prognosis ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Multiple tumors. Solid tumors. Tumors in childhood (general aspects) ; Neoplasm Recurrence, Local - classification ; Neoplasm Recurrence, Local - epidemiology ; Neoplasm Recurrence, Local - mortality ; Neoplasm Recurrence, Local - pathology ; Neoplasm Staging ; Oncology ; Original Paper ; Pharmacology. Drug treatments ; Prognosis ; Proteins ; Receptor, ErbB-2 - metabolism ; Receptors, Estrogen - metabolism ; Receptors, Progesterone - metabolism ; Risk factors ; Survival Rate ; Tumors ; Young Adult</subject><ispartof>Journal of cancer research and clinical oncology, 2013-09, Vol.139 (9), p.1569-1577</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><rights>2014 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-5d7b9ff826e8771b593d8510af281212edece42a7fd86eacf4293aea11417fcf3</citedby><cites>FETCH-LOGICAL-c402t-5d7b9ff826e8771b593d8510af281212edece42a7fd86eacf4293aea11417fcf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27632684$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23892409$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Minicozzi, Pamela</creatorcontrib><creatorcontrib>Bella, Francesca</creatorcontrib><creatorcontrib>Toss, Angela</creatorcontrib><creatorcontrib>Giacomin, Adriano</creatorcontrib><creatorcontrib>Fusco, Mario</creatorcontrib><creatorcontrib>Zarcone, Maurizio</creatorcontrib><creatorcontrib>Tumino, Rosario</creatorcontrib><creatorcontrib>Falcini, Fabio</creatorcontrib><creatorcontrib>Cesaraccio, Rosaria</creatorcontrib><creatorcontrib>Candela, Giuseppa</creatorcontrib><creatorcontrib>La Rosa, Francesco</creatorcontrib><creatorcontrib>Federico, Massimo</creatorcontrib><creatorcontrib>Sant, Milena</creatorcontrib><title>Relative and disease-free survival for breast cancer in relation to subtype: a population-based study</title><title>Journal of cancer research and clinical oncology</title><addtitle>J Cancer Res Clin Oncol</addtitle><addtitle>J Cancer Res Clin Oncol</addtitle><description>Purpose No population-based study has investigated breast cancer (BC) subtypes defined by including Ki67. The aim of this study was to evaluate the relative proportions of immunohistochemical subtypes and differences in relative and disease-free survival between subtypes, in relation to patient and other cancer characteristics in Italian BC patient. Methods Information on estrogen, progesterone, human epidermal growth factor (HER2), Ki67, and relapses was obtained for 3,381 cases, sampled randomly and anonymously from cases diagnosed in 2003–2005 in nine Italian cancer registries. Relative excess risks (RERs) of death and risks of relapse 5 years after diagnosis were estimated. Results Luminal A cancers were 42 % of the total, luminal B 27 %, luminal-HER2 14 %, triple-negative 11 %, and HER2-enriched 7 %. For non-metastatic (3,302) cases, 4 and 7 % developed locoregional and distant metastases, respectively. RERs of death and risks of relapse were significantly greater for all cancer subtypes than luminal A, particularly for triple-negative and HER2-enriched cancers, which were more frequent in women &lt;40 years. Conclusions Our population-based findings confirm that subtype is an independent prognostic factor for BC. Triple-negative and HER2-enriched subtypes would benefit from the development and wide application, respectively, of targeted treatments, which would also improve survival for younger patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic agents</subject><subject>Biological and medical sciences</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - classification</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Breast Neoplasms - mortality</subject><subject>Breast Neoplasms - pathology</subject><subject>Cancer Research</subject><subject>Carcinoma, Ductal, Breast - epidemiology</subject><subject>Carcinoma, Ductal, Breast - mortality</subject><subject>Carcinoma, Ductal, Breast - secondary</subject><subject>Carcinoma, Lobular - epidemiology</subject><subject>Carcinoma, Lobular - mortality</subject><subject>Carcinoma, Lobular - secondary</subject><subject>Epidermal growth factor</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hematology</subject><subject>Hormones</subject><subject>Humans</subject><subject>Immunoenzyme Techniques</subject><subject>Internal Medicine</subject><subject>Italy - epidemiology</subject><subject>Lymph Nodes - pathology</subject><subject>Mammary gland diseases</subject><subject>Medical prognosis</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</subject><subject>Neoplasm Recurrence, Local - classification</subject><subject>Neoplasm Recurrence, Local - epidemiology</subject><subject>Neoplasm Recurrence, Local - mortality</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Neoplasm Staging</subject><subject>Oncology</subject><subject>Original Paper</subject><subject>Pharmacology. 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The aim of this study was to evaluate the relative proportions of immunohistochemical subtypes and differences in relative and disease-free survival between subtypes, in relation to patient and other cancer characteristics in Italian BC patient. Methods Information on estrogen, progesterone, human epidermal growth factor (HER2), Ki67, and relapses was obtained for 3,381 cases, sampled randomly and anonymously from cases diagnosed in 2003–2005 in nine Italian cancer registries. Relative excess risks (RERs) of death and risks of relapse 5 years after diagnosis were estimated. Results Luminal A cancers were 42 % of the total, luminal B 27 %, luminal-HER2 14 %, triple-negative 11 %, and HER2-enriched 7 %. For non-metastatic (3,302) cases, 4 and 7 % developed locoregional and distant metastases, respectively. RERs of death and risks of relapse were significantly greater for all cancer subtypes than luminal A, particularly for triple-negative and HER2-enriched cancers, which were more frequent in women &lt;40 years. Conclusions Our population-based findings confirm that subtype is an independent prognostic factor for BC. Triple-negative and HER2-enriched subtypes would benefit from the development and wide application, respectively, of targeted treatments, which would also improve survival for younger patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23892409</pmid><doi>10.1007/s00432-013-1478-1</doi><tpages>9</tpages></addata></record>
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source Springer Nature
subjects Adolescent
Adult
Aged
Aged, 80 and over
Antineoplastic agents
Biological and medical sciences
Breast cancer
Breast Neoplasms - classification
Breast Neoplasms - epidemiology
Breast Neoplasms - mortality
Breast Neoplasms - pathology
Cancer Research
Carcinoma, Ductal, Breast - epidemiology
Carcinoma, Ductal, Breast - mortality
Carcinoma, Ductal, Breast - secondary
Carcinoma, Lobular - epidemiology
Carcinoma, Lobular - mortality
Carcinoma, Lobular - secondary
Epidermal growth factor
Female
Follow-Up Studies
Gynecology. Andrology. Obstetrics
Hematology
Hormones
Humans
Immunoenzyme Techniques
Internal Medicine
Italy - epidemiology
Lymph Nodes - pathology
Mammary gland diseases
Medical prognosis
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Multiple tumors. Solid tumors. Tumors in childhood (general aspects)
Neoplasm Recurrence, Local - classification
Neoplasm Recurrence, Local - epidemiology
Neoplasm Recurrence, Local - mortality
Neoplasm Recurrence, Local - pathology
Neoplasm Staging
Oncology
Original Paper
Pharmacology. Drug treatments
Prognosis
Proteins
Receptor, ErbB-2 - metabolism
Receptors, Estrogen - metabolism
Receptors, Progesterone - metabolism
Risk factors
Survival Rate
Tumors
Young Adult
title Relative and disease-free survival for breast cancer in relation to subtype: a population-based study
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